Journal of Pharmacy And Bioallied Sciences

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 13  |  Issue : 5  |  Page : 731--734

Anaesthetic efficacy of lidocaine and articaine in inferior alveolar nerve block combined with buccal infiltration in patients with irreversible pulpitis


Shrimanikandan Ayappa Gandhi1, Sambarta Das2, Abhisek Das3, Yoshaskam Agnihotri3, Rajanna Venkatraman Mohan4, Venkata Ramanan Dasu Subramanian5 
1 Department of Craniofacial Surgery and Dentistry, Velammal Medical Hospital and Research Institute, Madurai, Tamil Nadu, India
2 Department of Conservative Dentistry and Endodontics, Hi-Tech Dental College and Hospital, Bhubaneswar, Odisha, India
3 Department of Conservative Dentistry and Endodontics, Hi-Tech Dental College, Bhubaneswar, Odisha, India
4 Department of Oral Pathology and Microbiology, Best Dental Science College and Hospital, Madurai, Tamil Nadu, India
5 Department of Conservative Dentistry and Endodontics, Best Dental Science College and Hospital, Madurai, Tamil Nadu, India

Correspondence Address:
Shrimanikandan Ayappa Gandhi
Assistant Professor, Department of Craniofacial Surgery and Dentistry, Velammal Medical Hospital and Research Institute, Madurai - 625 009, Tamil Nadu
India

Purpose: This prospective, randomized, double-blinded study was conducted to compare the anesthetic efficacy of 2% lidocaine with 1:200,000 epinephrine and 4% articaine with 1:200,000 epinephrine in inferior alveolar nerve block (IANB) combined with buccal infiltration in patients with irreversible pulpitis. Methods: Group I: Thirty patients received IANB of 2% lidocaine without buccal infiltration. Group II: Thirty patients received IANB of 2% lidocaine followed by buccal infiltration with 2% lidocaine. Group III: Thirty patients received IANB with 4% articaine followed by buccal infiltration with 4% articaine. Pain during the procedures was recorded by using a Heft Parker visual analog scale. No pain or mild pain on endodontic access was recorded as success and analyzed using Chi-square analysis. Results: Group I obtained 30% success rate. Fifty percent successful anesthesia was obtained for Group II. The success rate was increased to 70% for Group III with statistically significant difference among all the groups (P < 0.05). Conclusion: The use of 4% articaine as both IANB and buccal infiltration recorded the highest success rate (70%) when compared to either 2% lidocaine as IANB with buccal infiltration (50%) or 2% lidocaine as IANB alone (30%) in patients with irreversible pulpitis.


How to cite this article:
Gandhi SA, Das S, Das A, Agnihotri Y, Mohan RV, Dasu Subramanian VR. Anaesthetic efficacy of lidocaine and articaine in inferior alveolar nerve block combined with buccal infiltration in patients with irreversible pulpitis.J Pharm Bioall Sci 2021;13:731-734


How to cite this URL:
Gandhi SA, Das S, Das A, Agnihotri Y, Mohan RV, Dasu Subramanian VR. Anaesthetic efficacy of lidocaine and articaine in inferior alveolar nerve block combined with buccal infiltration in patients with irreversible pulpitis. J Pharm Bioall Sci [serial online] 2021 [cited 2021 Dec 7 ];13:731-734
Available from: https://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=5;spage=731;epage=734;aulast=Gandhi;type=0